Question 1

What is HCPCS code G9147?

Accepted Answer

HCPCS code G9147 is "Outpt iv insulin tx any mea". Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration

Question 2

What category is G9147 in?

Accepted Answer

G9147 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9147?

Accepted Answer

Use G9147 when billing for outpt iv insulin tx any mea. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G9147 covered by Medicare?

Accepted Answer

Coverage for G9147 (Outpt iv insulin tx any mea) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G9147?

Accepted Answer

Documentation for G9147 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).